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Title: A UNIQUE APPROACH TO INCREASING PATIENT ADHERENCE THROUGH THE USE OF TRACKABLE TECHNOLOGY: A CASE REPORT.
Creator: Royal, Caitlyn L., Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: This case report reviews the barriers to adherence to home exercise programs (HEPs) and the implementation of trackable technology as a potential solution to promote adherence. It is estimated that nearly two-thirds of patients receiving HEPs from a physical therapist do not adhere to the program or perform exercises as prescribed due to a number of identified barriers. Case Description: The case patient was a 60-year-old, athletic female with a physical therapy...
Show moreBackground and Purpose: This case report reviews the barriers to adherence to home exercise programs (HEPs) and the implementation of trackable technology as a potential solution to promote adherence. It is estimated that nearly two-thirds of patients receiving HEPs from a physical therapist do not adhere to the program or perform exercises as prescribed due to a number of identified barriers. Case Description: The case patient was a 60-year-old, athletic female with a physical therapy diagnosis of right medial meniscus tear. She reported pain with physical activity limiting participation in recreational activities, such as yoga and horseback riding. Intervention: The Mywellness® app allows for seamless integration of the Technogym® Ecosystem of online platforms, allowing health professionals to add and update patient exercises through the use of the web-based portal and cloud technology. This grants patients timely guidance, advice, and motivation to perform their prescribed HEP. Furthermore, the app portal allows the health professional to monitor patient compliance to recommendations and prescribed exercise plans. Outcome: In a five-week episode of care, the case patient completed 7 out of 10 prescribed sessions of her HEP for an adherence rate of 70%. For each completed session (7), the patient demonstrated sufficient adherence of 71.4%, completing all of her prescribed exercises. Technical difficulties occurred during one out of seven sessions. Discussion: Demonstrated by the positive patient outcomes in this case report, trackable technologies such as the Mywellness® app may provide the support and accountability necessary to promote patient adherence to HEPs in an outpatient physical therapy setting. Future research is needed on a larger-scale to conclude if trackable technology produces a positive effect on levels of patient adherence when performing HEPs.
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Date Issued: 2019-04-30
Identifier: fgcu_ETD_0286
Format: Document (PDF)

Title: The Importance of Screening and Early Identification of Depression in College Students.
Creator: Nino, Elizabeth, Marieb College of Health & Human Services
Abstract / Description: Abstract Background: The prevalence of depression among college students has significantly increased in the past decade. Depression is twice as common among college students than compared to the general population. Without early identification and treatment of depression, it can negatively impact important outcomes such as social connectedness, academic performance, academic retention, and future economic productivity. Objective: Early identification and depression screening should be a...
Show moreAbstract Background: The prevalence of depression among college students has significantly increased in the past decade. Depression is twice as common among college students than compared to the general population. Without early identification and treatment of depression, it can negatively impact important outcomes such as social connectedness, academic performance, academic retention, and future economic productivity. Objective: Early identification and depression screening should be a priority among the college population. The purpose of this quality improvement project was to develop an evidence-based Depression Screening Protocol for an identified college health center utilizing the patient health questionnaire-2 (PHQ-2) and the patient health questionnaire-9 (PHQ-9) integrated in the electronic medical record. Various meetings with the healthcare providers, directors, and staff were held to share rationale for the development of the depression screening protocol and helped to identify the questions and concerns regarding implementation of the Depression Screening protocol. Results: Of the college students receiving health services at the identified college health center, a total of 1,741 college students were screened for depression, 1,719 students completed the PHQ-2, 22 students completed the PHQ-9, and 13 students were referred to counseling and psychological services. Conclusion: The Doctor of Nursing Practice (DNP) project demonstrated that the implementation of an evidence-based Depression Screening Protocol at a college health center was manageable and sustainable. This quality improvement project was successfully integrated into the identified health college center and it improved early identification of depression among college students.
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Date Issued: 2020-04-28
Identifier: fgcu_ETD_0331
Format: Document (PDF)

Title: The Healthy Eating and Activity Responsibility Training (HEART) Program.
Creator: Dean, Abbey, Marieb College of Health & Human Services
Abstract / Description: Background: The United States is facing an obesity epidemic as the number of individuals who are overweight and obese continues to rise, with nearly 40% of adults considered obese and approximately 93.3 million individuals affected by obesity. An epidemic of overweight and obesity exists in the young adult population, particularly college students, as they are exposed to common obesity risk factors including poor nutrition and lack of physical activity. Alarmingly, one in three college...
Show moreBackground: The United States is facing an obesity epidemic as the number of individuals who are overweight and obese continues to rise, with nearly 40% of adults considered obese and approximately 93.3 million individuals affected by obesity. An epidemic of overweight and obesity exists in the young adult population, particularly college students, as they are exposed to common obesity risk factors including poor nutrition and lack of physical activity. Alarmingly, one in three college students are overweight or obese, with an average weight gain of four to eight pounds during their first semester of college. Problem: The PICO question guiding this project was: In freshmen college students, how does an evidence-based, health promotion program The Healthy Eating and Activity Responsibility Training (HEART), compared to no intervention, affect the nutrition and physical activity behaviors, weight, and body mass index (BMI) of freshmen students during the first semester in college? Methods: The HEART program was a blended learning nutritional program for select college freshmen at a university in southwest Florida. Pre-and post-questionnaire data were obtained to compare effectiveness of the program. Intervention: There were 91 participants in the HEART program and 61 students in the usual group. However, only 44 questionnaires from the intervention group, and 9 questionnaires from the usual group, were included in the data analysis as these participants correctly provided their unique identifier to compare pre-and post-results. Results: Females in the intervention group lost an average of five pounds compared to the average weight gain of females in the usual group of 17 pounds. Males in the intervention group gained an average of two pounds, whereas males in the usual group lost an average of two pounds. Additionally, students reported increased ability to identify select foods high in fiber (bananas p < .014), added sugar (tomato Ketchup p < .017), and added salt (cereal p < .001). Conclusion: Participants in the HEART program had less weight gain compared to those in the usual group. Females appeared to be more likely to decrease their weight compared to males. Additionally, participants in the HEART program revealed improved awareness and recognition of foods high in fiber, added salt, and added sugar.
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Date Issued: 2020-05-03
Identifier: fgcu_ETD_0333
Format: Document (PDF)

Title: Evaluating the Benefits of Palliative Care Services on Heart Failure Patients in the Home Setting.
Creator: Coburn, Anabel, Marieb College of Health & Human Services
Abstract / Description: Background: As a leading source of hospitalizations among patients over age 65, heart failure patients are a considerable consumer of healthcare resources, creating a substantial burden on the country’s healthcare system. The cost of heart failure has risen from an approximate 44.6 billion dollars in 2015 to a projected 97 billion dollars in 2030. Compared to the oncology patient population, little descriptive data is available for heart failure patients receiving palliative care. In clinical...
Show moreBackground: As a leading source of hospitalizations among patients over age 65, heart failure patients are a considerable consumer of healthcare resources, creating a substantial burden on the country’s healthcare system. The cost of heart failure has risen from an approximate 44.6 billion dollars in 2015 to a projected 97 billion dollars in 2030. Compared to the oncology patient population, little descriptive data is available for heart failure patients receiving palliative care. In clinical practice, a main area of concern remains in the delayed referral process of patients to palliative care, which in turn negatively impacts their overall quality of life. Objective: The specific aim of this project was to determine the impact of a palliative care protocol on the overall quality of life of heart failure patients admitted to a home-based palliative care program in Southwest Florida. Results: The standard palliative care interventions were noted to have improved symptoms such as dyspnea, pain control, and anxiety for the patients. Monthly follow-ups showed an improvement in overall IPOS scores, reflecting a sense of positivity and hopefulness regarding the palliative care program and symptom control. Conclusions: This evidence-based project evaluated the effectiveness of palliative care services on HF patients in the home care setting. Given the small sample size, this project should be repeated in a larger sample or in another setting such as skilled nursing facilities or other chronic conditions such as COPD to improve quality of life of patients.
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Date Issued: 2021-03-24
Identifier: fgcu_ETD_0356
Format: Document (PDF)

Title: Considerations in Lower Extremity Closed Kinetic Chain Exercise: A Clinical Perspective.
Creator: Cordova, Mitchell
Abstract / Description: Presents a clinical perspective on the considerations in lower extremity closed kinetic chain (CKC) exercise. Discussion on the biomechanics of lower extremity CKC exercises; Use of the concept of CKC exercise in the rehabilitation field; Objectives of CKC exercise.
Date Issued: 2001-03-01
Identifier: fgcu_ir_000307
Format: Citation

Title: Comment on Drouin et al.
Creator: Cordova, Mitchell
Abstract / Description: Comments on Joshua M. Drouin et al's evaluation of whether measures of weight-bearing and non-weight-bearing joint reposition sense are related to lower extremity functional performance tests. Primary concern surrounding the interpretation of the correlations; Use of data which are not reproducible; Questions on the reliability estimates.
Date Issued: 2003-02-01
Identifier: fgcu_ir_000300
Format: Citation

Title: Giving Clinicians More to Work With: Let's Incorporate Confidence Intervals Into Our Data.
Creator: Cordova, Mitchell
Abstract / Description: To establish our evidence, we need to conduct research studies that ultimately will allow us to determine the efficacy of a treatment or series of treatments over time on specific clinical outcomes. The use of confidence intervals (CIs) provides great insight into the clinical significance of results and gives an alternative approach to traditional hypothesis testing and interpretation of the P value alone.1 Moreover, CIs can also be applied to analyses involving nonparametric data.
Date Issued: 2007-10-01
Identifier: fgcu_ir_000284
Format: Citation

Title: REEVALUATING HEMODYNAMIC RESUSCITATION TO NORMALIZE LACTATE LEVELS IN SEPTIC SHOCK PATIENTS WITH HYPERLACTATEMIA.
Creator: Trujillo, Ruby, Marieb College of Health & Human Services
Abstract / Description: INTRODUCTION: Although serum lactate levels have served as an important biomarker of illness severity in sepsis patients, lactate should not be the only criterion to guide treatment to enhance survival. Traditionally, clinicians have been instructed by such organizations as the Surviving Sepsis Campaign and its guidelines regarding lactate concentrations and tissue hypoperfusion. As this literature review will show, a combination of lactate with other biomarkers can serve as a more reliable...
Show moreINTRODUCTION: Although serum lactate levels have served as an important biomarker of illness severity in sepsis patients, lactate should not be the only criterion to guide treatment to enhance survival. Traditionally, clinicians have been instructed by such organizations as the Surviving Sepsis Campaign and its guidelines regarding lactate concentrations and tissue hypoperfusion. As this literature review will show, a combination of lactate with other biomarkers can serve as a more reliable predictor of sepsis mortality and thus guide appropriate interventions. METHODS: A search was conducted using the PubMed database. After formulating several research questions related to the topic, relevant keywords were generated. These produced sufficiently many articles related to sepsis resuscitation, lactate levels, and hemodynamic resuscitation. RESULTS: Hyperlactatemia is not the main criterion by which clinicians should be guided when treating patients with sepsis or in septic shock. Rather, lactate levels and lactate clearance should be used along with other assessments to determine appropriate interventions. Oxygen perfusion might do harm if a patient is not suffering from tissue hypoxia; thus, resuscitation must be based on microcirculatory dynamics and not macro hemodynamics. CONCLUSION: Decreased lactate clearance should not be the only criterion of early goal-directed therapy in severly ill sepsis patients. Hemodynamic resuscitation should be implemented based on actual oxygen demand, and measures using lactate with other biomarkers have been shown more reliable in predicting mortality than hyperlactatemia alone.
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Date Issued: 2019-12-16
Identifier: fgcu_ETD_0320
Format: Document (PDF)

Title: PSYCHOTROPICS EFFECTIVE AT CONTROLLING PSYCHOSIS AND HALLUCINATIONS WITHOUT SIGNIFICANT EXTRAPYRAMIDAL SYMPTOMS IN TREATING LEWY BODY DEMENTIA.
Creator: Khaliq, Noshaba, Marieb College of Health & Human Services
Abstract / Description: INTRODUCTION: Lewy body dementia (DLB) is a serious illness, affecting millions worldwide and currently the second most common etiology of the dementia spectrum. Patients, specifically the elderly, are devastated by the symptoms from this illness, chief of which are the disturbing visual hallucinations. Although medication exists to treat this disorder, the psychotropics generally prescribed have far-reaching implications for negative side effects and adverse events. This paper discusses the...
Show moreINTRODUCTION: Lewy body dementia (DLB) is a serious illness, affecting millions worldwide and currently the second most common etiology of the dementia spectrum. Patients, specifically the elderly, are devastated by the symptoms from this illness, chief of which are the disturbing visual hallucinations. Although medication exists to treat this disorder, the psychotropics generally prescribed have far-reaching implications for negative side effects and adverse events. This paper discusses the three medications quetiapine, rivastigmine, and donepezil and examines their risks-benefits profile in treating DLB. METHODS: Chiefly the PubMed database was consulted to gather relevant articles. One open-source database (OMICS) was used to cull several articles. All told, several dozen articles were reviewed, of which 13 were chosen for this review. RESULTS: The three medications reviewed, donepezil, rivastigmine, and quetiapine all have their place in DLB treatment; however, all have widely varying side effects, which are patient-specific. Of the three reviewed, donepezil proved to be the best tolerated at low dosages, and most effective at relieving visual hallucinations without EPS. CONCLUSION: Clinicians must be thoroughly conversant with as many psychotropics as possible, especially when treating DLB patients. Moreover, they must carefully weigh potential benefits against negative side effects. If they cannot make a strong case for use, then the best option is to forgo pharmacologic intervention.
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Date Issued: 2019-12-18
Identifier: fgcu_ETD_0315
Format: Document (PDF)

Title: SECONDARY BENEFITS OF ANTIHYPERTENSIVE MEDICATIONS IN THE TREATMENT OF CANCER.
Creator: Szczygiel, Stacy, Marieb College of Health & Human Services
Abstract / Description: Introduction: Traditional cancer treatments remain woefully inadequate to address and manage the increasingly complex manifestations of the disease and its insidious sequelae. While chemotherapy and surgical procedures might still be mainstays of cancer treatment, novel therapies based on existing medications should be explored if these show promise to improve cancer progression. The class of drugs that inhibit the renin-angiotensin-aldosterone-system have shown promise to stem the...
Show moreIntroduction: Traditional cancer treatments remain woefully inadequate to address and manage the increasingly complex manifestations of the disease and its insidious sequelae. While chemotherapy and surgical procedures might still be mainstays of cancer treatment, novel therapies based on existing medications should be explored if these show promise to improve cancer progression. The class of drugs that inhibit the renin-angiotensin-aldosterone-system have shown promise to stem the proliferation of malignant cells and their resulting neoplasms. Methods: Using the PubMed database, a keyword search, using terms related to the topic, produced several articles that presented studies related to the potential secondary benefits of antihypertensive drugs on cancer cell proliferation. Results: Five articles presented compelling evidence that the different types of hypertension medications could confer protection against multiplying cancer cells. Only one article mentioned the possible cancer promoting effects of such medications, but this was only in the context of treating hypertensive geriatric patients and their other age-related disorders. Conclusion: Antihypertensive drugs, particularly those that inhibit the angiotensin converting enzymes, have shown promise to shunt normal cancer metabolic pathways and shut down key processes necessary for malignant cell proliferation. Based on this research, these drugs present promise for adjuvant cancer treatment and disease management.
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Date Issued: 2019-12-16
Identifier: fgcu_ETD_0319
Format: Document (PDF)

Title: THE USE OF ANTIBIOTICS FOR NON-OPERATIVE MANAGEMENT OF UNCOMPLICATED APPENDICITIS.
Creator: Davis, Cody, Marieb College of Health & Human Services
Abstract / Description: Introduction: Appendicitis is a commonly diagnosed source of abdominal pain treated with an appendectomy. Alternative treatments to surgery are not widely used and accepted. Treatment with antibiotics alone has been suggested as an alternative treatment to surgery for patients with uncomplicated appendicitis. Methods: A literature search was conducted using Pub Med and the keywords “appendicitis antibiotics.” A PICO search was also conducted on the trip database with keywords “(appendicitis)...
Show moreIntroduction: Appendicitis is a commonly diagnosed source of abdominal pain treated with an appendectomy. Alternative treatments to surgery are not widely used and accepted. Treatment with antibiotics alone has been suggested as an alternative treatment to surgery for patients with uncomplicated appendicitis. Methods: A literature search was conducted using Pub Med and the keywords “appendicitis antibiotics.” A PICO search was also conducted on the trip database with keywords “(appendicitis)(antibiotic)(surgery or appendectomy).” Discussion: A small randomized control trial performed in the United States showed that 2 out of 15 patients had recurrent appendicitis after being treated only with antibiotics in a combination of inpatient and outpatient therapy. A much larger trial found that 70 out of 257 patients in the antibiotic only treatment group ended up needing an appendectomy after one year follow up, however patients treated only with antibiotics took less sick time from work. This study was extended and after 5 years 30 additional patients required surgery for recurrent appendicitis. Patient preferences were evaluated in two different studies and the results varied depending on the type of education given before the questionnaire. Conclusion: More research is needed to determine how antibiotics should factor into the treatment algorithm for appendicitis in the United States.
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Date Issued: 2019-12-12
Identifier: fgcu_ETD_0316
Format: Document (PDF)

Title: Cannabinoid receptors in the human brain as a pathway as a pathway for the treatment of anxiety, Post-Traumatic stress disorder, and depression.
Creator: Lopez-Whitney, Maria, Marieb College of Health & Human Services
Abstract / Description: Introduction: The endocannabinoid system is widely distributed throughout the brain, with high concentration in areas of mood regulation and emotional processing. This indicates a possible pathway for the treatment of mood disorders, in particular, depression, PTSD, and anxiety.2 This literature review aims to examine and pinpoint possible targets within the endocannabinoid system as a pathway for the treatment of depression, PTSD, and anxiety. Methods: This literature review presents an...
Show moreIntroduction: The endocannabinoid system is widely distributed throughout the brain, with high concentration in areas of mood regulation and emotional processing. This indicates a possible pathway for the treatment of mood disorders, in particular, depression, PTSD, and anxiety.2 This literature review aims to examine and pinpoint possible targets within the endocannabinoid system as a pathway for the treatment of depression, PTSD, and anxiety. Methods: This literature review presents an overview of studies where specific portions of the endocannabinoid system have been tested on either animals or humans as a target in the treatment of PTSD, anxiety, and depression. Discussion: The CB1 receptor has a role in the regulation of depression and anxiety, and the CB1 receptor agonists HU210, rimonabant, and AM251 are promising treatments for depression and anxiety. However, the endocannabinoid degradative pathway FAAH, AEA, and 2-AG are questionable targets in anxiety since certain doses could cause an increase in anxiety.1,4,5 Endocannabinoid system agonist show a promising treatment pathway for PTSD that encompasses the reduction of most symptoms related to the disorder, but only nabilone has been studied. Conclusion: Most studies indicate that using CB1 receptor agonists and the degradative pathway, there is significant reduction in depression and anxiety. However, most of the studies are animal based, which is why there needs to be a transition to human studies in order to develop therapeutic agents. In addition, the role of AEA in anxiety needs to be further researched as a possible pathway with animal studies. Also, while the endocannabinoid agonists show a promising comprehensive treatment for PTSD, more studies must be done to support the role of the endocannabinoid system in the treatment of PTSD.
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Date Issued: 2019-12-16
Identifier: fgcu_ETD_0314
Format: Document (PDF)

Title: Evaluating Trust and Its Timeline in Medical Practitioners.
Creator: Ciccone, Alexandra, Marieb College of Health & Human Services
Abstract / Description: Medicare and Medicaid created the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to capture hospital care information from the patient’s perspective. Patient satisfaction scores are tied to hospital reimbursement. HCAHPS doesn’t evaluate if patients trust their provider. We asked this question along with when and why patient-provider trust was established. 152 (95.6%) of the 159 patients interviewed trusted their medical provider, only seven (4.4%) did not....
Show moreMedicare and Medicaid created the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to capture hospital care information from the patient’s perspective. Patient satisfaction scores are tied to hospital reimbursement. HCAHPS doesn’t evaluate if patients trust their provider. We asked this question along with when and why patient-provider trust was established. 152 (95.6%) of the 159 patients interviewed trusted their medical provider, only seven (4.4%) did not. It is of utmost importance for providers to make a good impression during their initial patient encounter, as 85.5% of patients said trust was developed at their first interaction. A combination of communication skills and time spent ranked highest on patient’s reasoning for why patient-provider trust was or was not developed. This study highlights the need for all medical practitioners to enhance their ability to communicate effectively in order to better influence a patient’s satisfaction and positive perception of their care.
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Date Issued: 2019-12-13
Identifier: fgcu_ETD_0317
Format: Document (PDF)

Title: Ankle balance training targets recurrent injury.
Creator: Cordova, Mitchell, Wikstrom, Erik A.
Abstract / Description: Balance intervention programs improve postural stability, which reduces ankle sprain risk. By reducing injury recurrence, balance training reduces the risk of chronic ankle instability, and in turn the risk of ankle osteoarthritis.
Date Issued: 2009-09-01
Identifier: fgcu_ir_000277
Format: Citation

Title: Mechanical Instability After an Acute Lateral Ankle Sprain.
Creator: Cordova, Mitchell, Hubbard, Tricia J.
Abstract / Description: Ankle sprains are the most common injury in sports related activity. A negative consequence of approximately 40% of lateral ankle sprains is the development of CAI. CAI is the development of repetitive ankle sprains and persistent symptoms after injury. Research over the past 40 years has unsuccessfully tried to elucidate the causes of CAI. Recent evidence has suggested mechanical instability of the ankle may lead to the development of CAI, which may be present as a result of incomplete...
Show moreAnkle sprains are the most common injury in sports related activity. A negative consequence of approximately 40% of lateral ankle sprains is the development of CAI. CAI is the development of repetitive ankle sprains and persistent symptoms after injury. Research over the past 40 years has unsuccessfully tried to elucidate the causes of CAI. Recent evidence has suggested mechanical instability of the ankle may lead to the development of CAI, which may be present as a result of incomplete healing of the ligaments of the ankle.
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Date Issued: 2009-07-01
Identifier: fgcu_ir_000278, 10.1016/j.apmr.2009.01.020
Format: Citation

Title: Peroneus longus stretch reflex amplitude increases after ankle brace application.
Creator: Cordova, Mitchell, Ingersoll, Christopher D.
Abstract / Description: The use of external ankle support is widespread throughout sports medicine. However, the application of ankle bracing to a healthy ankle over a long period has been scrutinised because of possible neuromuscular adaptations resulting in diminished dynamic support offered by the peroneus longus.
Date Issued: 2003-01-01
Identifier: fgcu_ir_000301, 10.1136/bjsm.37.3.258
Format: Citation

Title: Application of Statistics in Establishing Diagnostic Certainty.
Creator: Cordova, Mitchell, Denegar, Craig R.
Abstract / Description: The examination and assessment of injured and ill patients leads to the establishment of a diagnosis. However, the tests and procedures used in health care, including procedures performed by certified athletic trainers, are individually and collectively imperfect in confirming or ruling out a condition of concern. Thus, research into the utility of diagnostic tests is needed to identify the procedures that are most helpful and to indicate the confidence one should place in the results of the...
Show moreThe examination and assessment of injured and ill patients leads to the establishment of a diagnosis. However, the tests and procedures used in health care, including procedures performed by certified athletic trainers, are individually and collectively imperfect in confirming or ruling out a condition of concern. Thus, research into the utility of diagnostic tests is needed to identify the procedures that are most helpful and to indicate the confidence one should place in the results of the test. The purpose of this report is to provide an overview of selected statistical procedures and the interpretation of data appropriate for assessing the utility of diagnostic tests with dichotomous (positive or negative) outcomes, with particular attention to the interpretation of sensitivity and specificity estimates and the reporting of confidence intervals around likelihood ratio estimates.
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Date Issued: 2012-03-01
Identifier: fgcu_ir_000266
Format: Citation

Title: Screening For Stress Urinary Incontinence (SUI) By Florida Physical Therapists: Practice Survey.
Creator: Mathew, Merryn, Balboa, Scarlett, Marieb College of Health & Human Services
Abstract / Description: Introduction: Stress urinary incontinence (SUI) is involuntary loss of urine during exertion, and is the most common form of incontinence in women between 25 to 66 years of age. It affects between 24% to 64% of women, and results in decreased quality of life, financial burden, and has been linked with low back pain and hip dysfunction. Objective: The purpose of this study was to determine the prevalence of SUI screening practices among Florida physical therapists providing direct patient care...
Show moreIntroduction: Stress urinary incontinence (SUI) is involuntary loss of urine during exertion, and is the most common form of incontinence in women between 25 to 66 years of age. It affects between 24% to 64% of women, and results in decreased quality of life, financial burden, and has been linked with low back pain and hip dysfunction. Objective: The purpose of this study was to determine the prevalence of SUI screening practices among Florida physical therapists providing direct patient care to adult females aged 18 and older. Additional survey questions were used to identify screening methods, likelihood of screening based on practitioner characteristics, confidence in treating individuals with SUI, and perceived barriers to SUI screening within the clinical environment. Methods: Data were collected using an anonymous online survey created to examine screening patterns and perceptions of physical therapists regarding their role in identification and treatment of SUI. Participants were recruited through electronic mail, flyers, and web announcements using professional channels. Responses were analyzed using Checkbox analysis tool and SPSS Predictive Analytics Software, version 23, Armonk, NY: IBM Corp. Results: Sixty-four physical therapists who met the inclusion criteria responded to the survey.; 34.4% (n=22) said they screen for SUI. Among those who reported screening for SUI, 21.9% (n=14) said they provide treatment for patients with SUI, while 9.4% (n=6) refer these patients to other clinicians. Conclusions: Our study showed that more than 60% of physical therapists who responded to this survey do not screen for SUI when working with adult females. A majority of survey respondents reported lack of knowledge and experience as the primary reason for not treating patients with SUI. Treatment of SUI is within PT’s scope of practice; therefore, PTs should promote better recognition and access to care for women with SUI based on its known prevalence, availability of effective treatment outcomes, impact on health care and personal costs to the patient, and potential for improved quality of life by reducing activity-limiting symptoms.
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Date Issued: 2017
Identifier: Mathew_fgcu_1743_10242
Format: Document (PDF)

Title: PHYSICAL THERAPISTS’ PERCEPTIONS ON THE USE OF TELEHEALTH IN PATIENT CARE.
Creator: Capellan, Tyler, Sineus, Woodly, Marieb College of Health & Human Services
Abstract / Description: Introduction: The United States along with many other countries have been searching for ways to increase health care access for individuals living in remote areas, those lacking transportation, or those with mobility deficits. One way these governments have been trying to combat these issues is with the use of telehealth. Telehealth is the practice of providing health care using communication technology to individuals at a site separate from the clinician. Previous research on telehealth has...
Show moreIntroduction: The United States along with many other countries have been searching for ways to increase health care access for individuals living in remote areas, those lacking transportation, or those with mobility deficits. One way these governments have been trying to combat these issues is with the use of telehealth. Telehealth is the practice of providing health care using communication technology to individuals at a site separate from the clinician. Previous research on telehealth has focused primarily on its barriers to implementation. The purpose of this study was to explore the perception of telehealth amongst physical therapist and physical therapist assistants pertaining to its benefits. Methods: This study involved a cross-sectional exploratory study utilizing an anonymous online survey. The survey was distributed to all licensed physical therapists and physical therapist assistants in Florida via email. Results/Discussion: Surveys were completed by 310 physical therapists. While many physical therapists are familiar with telehealth, they reported a lack of experience using the technology. Respondents, on average, agreed with the 13 advantages that telehealth technologies provide. On the ease of use items, the average response for feasibility in the participants’ setting was below agree, but they agreed to being willing to collaborate with a specialist. The participant’s sex and years employed did not produce significant relationships with their perceptions of the advantages. A significant negative correlation was found between hours of patient care and three of the survey (advantage) items. Conclusion: More research must be conducted exposing rehabilitation professionals to telehealth technology so they can further develop their opinions on its benefits. The lack of responses from physical therapist assistants limited the understanding of the perspectives of potential users of the technology.
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Date Issued: 2019-05-15
Identifier: fgcu_ETD_0292
Format: Document (PDF)

Title: Forces Used in Manual Therapy of the Shoulder as Measured with the Novel Pliance Glove Utilizing Ultrasound Imaging.
Creator: Speare, Jordan Paul, Todd, Robert Mitchell, Marieb College of Health & Human Services
Abstract / Description: Introduction: Shoulder dysfunction is one of the leading musculoskeletal reasons patients seek treatment from physical therapists. Research on the best practices of manual therapy (MT) has been limited over the years by a lack of understanding of the forces utilized and the actual effect on the humeral head and capsule. This study serves as a bridge between past literature in confirming or refuting suggested normative values of translational forces needed for reaching joint capsule end range....
Show moreIntroduction: Shoulder dysfunction is one of the leading musculoskeletal reasons patients seek treatment from physical therapists. Research on the best practices of manual therapy (MT) has been limited over the years by a lack of understanding of the forces utilized and the actual effect on the humeral head and capsule. This study serves as a bridge between past literature in confirming or refuting suggested normative values of translational forces needed for reaching joint capsule end range. Methods: Subjects for this descriptive quasi-experimental study were recruited using convenience sampling. Quantitative measurements of the forces applied to the humeral head during an inferior glide manual therapy technique were measured using a flexible force sensor device. The distance of humeral head displacement in healthy, living human subjects was studied simultaneously to the forces applied during an inferior glide shoulder joint manipulation. Results: Sixty-nine subjects participated in this study consisting of one data collection session. Common inferential statistics for force and distance data yielded no statistically significant results suggesting a larger subject pool may be necessary in future studies. A 1-tailed Pearson bivariate correlation found a fair correlation between the subject’s age and the force needed to move the joint capsule to end range. Discussion: The average force required to reach end range within the joint capsule was 14.27 N, with a range from 5.25 N to 35.92 N, compared to 80 N found in previous studies. Improved technology of the flexible force sensor device enabled more accurate measures between the hand applying the joint manipulation and the contours of manipulated tissue. An increase in joint capsule stiffness occurs with age resulting in overall increased force to reach end range within the joint capsule. Conclusion: Average force required to reach joint capsule end range was 14.27 N. No definitive parameters can be identified based on the results of this study, while data suggests subject characteristics warrant further investigation and must be included as well as controlled for as variables in future research.
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Date Issued: 2019-05-11
Identifier: fgcu_ETD_0290
Format: Document (PDF)

Physical therapy (60)	+ -
Medical care (6)	+ -
H-reflex (4)	+ -
Obesity (4)	+ -
Rehabilitation. (4)	+ -

Ankle. (3)	+ -
Electromyography. (3)	+ -
Exercise (3)	+ -
Proprioception. (3)	+ -
Thermocouples. (3)	+ -
Vital signs (3)	+ -
ankle bracing (3)	+ -
ankle injury (3)	+ -
Ankle Injuries. (2)	+ -
Back pain (2)	+ -
Cancer (2)	+ -
Cold. (2)	+ -
College students (2)	+ -
Cryotherapy. (2)	+ -
Depression, Mental (2)	+ -
Emotional intelligence (2)	+ -
Exercise. (2)	+ -
Golf (2)	+ -
Knee Joint. (2)	+ -
Lymphedema (2)	+ -
Modality (2)	+ -
Muscles (2)	+ -
Patient satisfaction (2)	+ -
Pelvis (2)	+ -
Stroke (2)	+ -

Electronic Theses & Dissertations (70)	+ -
Scholarly Publications (54)	+ -

Article (54)	+ -
Research Project (29)	+ -
Case Report (25)	+ -
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